Sato, Ken Soderlund

Sato, Ken Soderlund is an sole proprietor health care provider with primary practice located at 352 Alta Ave , Santa Cruz CA 95060-6442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Sato, Ken Soderlund can be contacted via phone (831) 401-2313.

Contact Information

Primary practice address
352 Alta Ave Santa Cruz CA 95060-6442
Phone: (831) 401-2313
Fax: (831) 401-2313
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X G85728 California
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD24401 Oregon
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 10583 Hawaii

Profile Details

NPI number 1306835012
LBN Legal business name Sato, Ken Soderlund
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2005
Last updated Apr 7th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306835012 NPPES
Oregon MEDICAID 297482
Oregon MEDICAID 00G857280

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